Provider Demographics
NPI:1649283201
Name:LANCASTER, DEBORAH J (LCSW)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:J
Last Name:LANCASTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3255 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:SUITE 502
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1586
Mailing Address - Country:US
Mailing Address - Phone:847-253-5352
Mailing Address - Fax:847-634-1973
Practice Address - Street 1:3255 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:SUITE 502
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1586
Practice Address - Country:US
Practice Address - Phone:847-253-5352
Practice Address - Fax:847-634-1973
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical